Fungal infections in Algeria.


Journal

Mycoses
ISSN: 1439-0507
Titre abrégé: Mycoses
Pays: Germany
ID NLM: 8805008

Informations de publication

Date de publication:
Jul 2023
Historique:
revised: 13 03 2023
received: 03 02 2023
accepted: 18 03 2023
medline: 5 6 2023
pubmed: 3 4 2023
entrez: 2 4 2023
Statut: ppublish

Résumé

Invasive and superficial fungal infections are increasingly reported in Algeria, testifying to the increase in their frequency in parallel with the increase in risk factors and the availability of diagnostic means, at least in university hospitals (CHU). The latter, located in the major northern cities, are equipped with high-performance diagnostic tools compared to hospitals in the interior of the country. A comprehensive search of published and grey literature was undertaken. Prevalence and incidence of discrete fungal diseases were estimated using a deterministic modelling approach based on populations at risk. Population (2021) and major underlying disease risk groups were obtained from UNAIDS, WHO Tuberculosis and the international transplant registries as well as published data for asthma and COPD. The health service profile was summarised from national documentation. Among the 43.6 million, including 12.9 million children, living in Algeria, the most prevalent fungal diseases are tinea capitis (>1.5 million), recurrent vaginal candidiasis (>500,000) and allergic fungal lung and sinus disorders (>110,000) and chronic pulmonary aspergillosis (>10,000). Life-threatening invasive fungal infection incidence includes 774 Pneumocystis pneumonia in AIDS, 361 cryptococcal meningitis, 2272 candidaemia and 2639 invasive aspergillosis cases. Fungal keratitis probably affects >6000 eyes each year. Fungal infections are underestimated in Algeria because they are sought in patients with risk factors only after bacterial infections when they should be sought in parallel. The diagnosis is only accessible in hospitals in large cities and the work carried out in mycology is rarely published, making the estimation of the burden of these conditions difficult.

Identifiants

pubmed: 37005355
doi: 10.1111/myc.13585
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

594-603

Informations de copyright

© 2023 The Authors. Mycoses published by Wiley-VCH GmbH.

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Auteurs

Fatma Zohra Aissat (FZ)

Hospital establishment specializing in infectious diseases El Hadi Flici, Algiers, Algeria.

David W Denning (DW)

Manchester Fungal Infection Group, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.

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